Post-cholecystectomy Bile Duct Injury

Surgical anatomy.- Epidemiology.- Etiology.- Prevention.- Patho-physiology of bile leak, bile loss and biliary obstruction.- Non-biliary injuries.- Nomenclature and classification.- Intra-operative diagnosis and management.- Postoperative diagnosis and management.- External biliary fistula.- Benign biliary stricture.- Surgical management.- Endoscopic management.- Follow up.- Health care.- Socio-economic and medico-legal aspects.

This book provides detailed insight to the readers into various aspects of bile duct injury. Bile duct injury is a common complication of cholecystectomy to treat gall stone disease prevalent all over the world. Risk of bile duct injury is more during a laparoscopic procedure as compared to open procedure and most cholecystectomies today are performed laparoscopically. Bile duct injury causes major morbidity and may even result in death, additionally it increases the healthcare costs and impairs quality of life. It is therefore important that every surgeon who performs cholecystectomy knows how to suspect, diagnose, manage and prevent bile duct injury.

This book provides practical information and offers assistance in managing patients with difficult cases of bile duct injury. It summarises Dr Kapoor's experience with management of more than 1,000 patients with post-cholecystectomy bile duct injury/ biliary stricture. Chapters cover anatomy, epidemiology, mechanism, pathophysiology, clinical presentation, investigations, classification, diagnosis, management and prevention of bile duct injury. It also includes non-medical issues including health care, socio-economic, costs and quality of life.

Dr Vinay K Kapoor (MS, FRCSEd) received surgical training at All India Institute of Medical Sciences (AIIMS), New Delhi. He is currently professor of surgical gastroenterology at Sanjay Gandhi Post-Graduate Institute of Medical Sciences (SGPGIMS), Lucknow. He has been a visiting professor at the King's College Hospital, London and the International Medical University, Kuala Lumpur. He has been an examiner for MRCS at the Royal College of Surgeons of Edinburgh, England and Glasgow. He is a member of the Indian Council of Medical Research (ICMR) Task Force on gall bladder cancer.
Dr Kapoor's areas of research interest are gall bladder cancer and bile duct injury. He is globally recognized as an authority on gall bladder cancer as he has conducted extensive research, both clinical and experimental, in various aspects of gall bladder cancer and has published book chapters and articles in journals on the same topics. He has also delivered lectures at conferences and institutions in many countries on gall bladder cancer. He has recently launched an online education portal called Prashna India.